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NPI Code Detail

MEDICARE: ALEKSANDRA BESTERFELDT ANP

MEDICARE: ALEKSANDRA BESTERFELDT ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner209013714IL
2363LA2200XAdult Health Nurse Practitioner277.000300IL
3363LP0808XPsychiatric/Mental Health Nurse Practitioner277.000300IL

General Provider Information

NPI Number : 1770949067
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEKSANDRA BESTERFELDT ANP
Provider Business Mailing Address
First Line : 34259 N HOMESTEAD RD
Second Line :
City : GURNEE
State : IL
Zip : 60031-4267
Country : US
Telephone Number : 847-338-1475
Fax Number :
Provider Business Practice Location Address
First Line : 2534 ELIM AVE
Second Line :
City : ZION
State : IL
Zip : 60099-2661
Country : US
Telephone Number : 847-338-1475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2016
Last Update Date : 03/10/2024

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